Provider Demographics
NPI:1811405095
Name:SCRATCH MY ITCH LLC
Entity Type:Organization
Organization Name:SCRATCH MY ITCH LLC
Other - Org Name:PREFERRED CARE AT HOME OF PITTSBURGH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DON
Authorized Official - Middle Name:
Authorized Official - Last Name:KULIKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-758-2610
Mailing Address - Street 1:5074 W LIBRARY AVE STE 500
Mailing Address - Street 2:
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102-2762
Mailing Address - Country:US
Mailing Address - Phone:412-253-2830
Mailing Address - Fax:412-253-2834
Practice Address - Street 1:5074 W LIBRARY AVE STE 500
Practice Address - Street 2:
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102-2762
Practice Address - Country:US
Practice Address - Phone:412-253-2830
Practice Address - Fax:412-253-2834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-22
Last Update Date:2018-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1030916380001Medicaid